NCDs Flashcards
Which ONE of the following is true of HIV-associated dementia:
A. The condition is a subcortical dementia.
B. Commonly improves with AZT.(AZT-Zidovudine only).
C. Commonly occurs in the early stage of HIV infection.
D. Psychotic symptoms are usually absent.
E. Symptoms usually resemble depression - not usually. They usually resemble cognitive deficits,
behaviour and mood changes- often is comorbid with depression especially at onset of Dx or
late during clinical deterioration.
A- True.
Primarily affects basal ganglia and
nigrostriatial structures, white matter tracts resulting in cognitive impairment (source uptodate
and Dr Mgweba)
In the assessment of a violent patient the following are true EXCEPT: (CHOOSE ONE)
A. Start with a detailed history
B. Assessment occurs simultaneously with containing actions
C. Assessment is complete once the patient is sedated
D. Assessment includes observation for signs of head injury
E. Assessment relies heavily on a collateral history.
C.
Clinical features of psychogenic amnesia include the following EXCEPT: (CHOOSE ONE)
A. retaining the capacity to learn new information true
B. an abrupt onset true
C. some precipitating emotional trauma true
D. no obvious difficulties in communicating with others true (i.e. they don’t have obvious
difficulties in communicating with others)
- This is a double negative again. These people dont struggle to communicate, they just have
blanked out a section of memory from what i can understand.
E. non-awareness of the memory loss not a clinical feature, they don’t necessarily need to not be
aware of memory loss.
E:
DSM V
Although some individuals with amnesia promptly notice that they have “lost time”
or that they have a gap in their memory, most individuals with dissociative disorders are initially unaware of their amnesias.
Medical confidentiality is justifiably broken in all the following EXCEPT: (CHOOSE ONE)
A. If the benefit to society is greater than that of the patient
B. With the consent of the patient
C. When the patient has died
- Even after death confidentiality has to be maintained.
D. In accordance with legislation
E. In an emergency situation to the benefit of the patient
C.
The following are characteristic symptoms of frontal lobe syndrome EXCEPT: (CHOOSE ONE)
Frontal lobe syndrom = motivation, planning, social behaviour, and speech
production.
A. A general lack of drive
B. Lack of foresight
C. Loss of motivation
D. Indifference to the feelings of others
E. Auditory hallucinations
E.
The treatment of opioid intoxication is commonly associated with which ONE of the following
antagonist drugs?
A. Fluoxetine
B. Haloperidol
C. Diazepam
D. Naloxone
E. Phenobarbital
D
